Life Sciences & Biomedicine Psychology Science & Technology Social Sciences Substance Abuse
Objective: The current study aims to evaluate individual, relational, and community-level risk and promotive factors for transactional sex involvement among substance-using youth. Method: Youth (ages 14-24 years) presenting for care in an urban emergency department, who reported drug use within the past 6 months, were surveyed as part of a larger study assessing violence. Of the 600 youth enrolled in this study, 350 presented to the emergency department with violent injury. Based on youth presenting with violent injury, a proportionally selected (age and gender) comparison group of youth (n = 250) presenting without violent injury were enrolled. Participants were queried about both risk and promotive factors at the individual, relational, and community levels. Results: Of the sample, 7.3% reported involvement in transactional sex within the past month. Regression analyses indicated that being African American or other race (as compared with White), having more than one sexual partner, depressive symptoms, negative peer influence, and substance use treatment utilization were positively associated with transactional sex involvement. Increased school involvement was negatively related to involvement in transactional sex. Conclusions: Drug-using youth who reported recent transactional sex involvement are more likely to experience increased HIV risk, depressive symptoms, and negative peer influence and are less likely to experience the promotive factors of school involvement. Future research is needed to better understand the bidirectional relationship between transactional sex involvement and both risk and promotive factors at multiple ecological levels.
Transactional Sex Involvement: Exploring Risk and Promotive Factors Among Substance-Using Youth in an Urban Emergency Department
Creators
Rikki A. Patton - University of Akron
Rebecca M. Cunningham - University of Michigan
Frederic C. Blow - University of Michigan
Marc A. Zimmerman - University of Michigan
Brenda M. Booth - University of Arkansas at Little Rock
Maureen A. Walton - University of Michigan
Publication Details
Journal of studies on alcohol and drugs, v 75(4), pp 573-579
Publisher
Alcohol Res Documentation Inc Cent Alcohol Stud Rutgers Univ
Number of pages
7
Grant note
R01024646 / National Institute on Drug Abuse; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA)
T32 DA007267 / National Institutes of Health (NIH) under Ruth L. Kirschstein National Research Service Award; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
Resource Type
Journal article
Language
English
Academic Unit
Counseling and Family Therapy
Web of Science ID
WOS:000339138500005
Scopus ID
2-s2.0-84904129630
Other Identifier
991021867043404721
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